Individual
MS. DOROTHY E. VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 609-4546
Mailing address
232 BIRCH GLENN CT, COLUMBIA, SC 29209-1200
(803) 695-5014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
56503
SC
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
56503
SC
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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